Active NPI
Mary Montemurro, RNC,NP
- Adult Psychiatric/Mental Health Registered Nurse
- New York, NY
National Provider Identifier
1083847461
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Psychiatric/Mental Health Registered Nurse
- License
- 310003-1
- Practice address
- 203 W 12TH St
616
New York, NY 10011-7762 - Phone
- (212) 604-8256
- NPI assigned
- Sep 1, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Psychiatric/Mental Health Registered Nurse | 163WP0809X | 310003-1 | NY | Primary |
Addresses
Primary practice location
203 W 12TH St
616
New York, NY 10011-7762
Mailing address
82 W 12TH St
New York, NY 10011-8667
Phone (212) 604-8256
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 310003-1 | NY | MD | Adult Psychiatric/Mental Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1251763200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1251763200000",
"number": "1083847461",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "82 W 12TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100118667",
"telephone_number": "212-604-8256"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "203 W 12TH ST",
"address_2": "616",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100117762",
"telephone_number": "212-604-8256"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONTEMURRO",
"first_name": "MARY",
"name_prefix": "Ms.",
"credential": "RNC,NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-09-01",
"last_updated": "2009-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "163WP0809X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
"state": "NY",
"license": "310003-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.